Utilization Review Jobs in USA

Job Summary : The purpose of the case manager is extender is to serve patients who have been discharged from the hospital or are to be admitted to the hospital. Focus is on the facilitation of the transitions before and after the acute episode of care with attention to medical psychosocial and econ...

Hours:Shift Start Time:7 AMShift End Time:4 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.300 - $30.360 - $34.000The stated pay scale reflects the range that Sharp reasona...

Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:This is part time 24 hours per weekWeekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$28.170 - $35.210 - $39.430The stated pay...

Site: Newton-Wellesley HospitalMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to p...

Site: Mass General Brigham Home Care Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service str...

Hours:Shift Start Time:7 AMShift End Time:5:30 PMAWS Hours Requirement:10/40 - 10 Hour ShiftAdditional Shift Information:Tuesdays OffWeekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$30.370 - $37.950 - $42.510The stated pay scale reflects the range t...

Marion County requires on-site work. Remote work is not available.Marion County Public Healththe first PHAB-accredited health department in Oregonis seeking a dedicated Clinic Nurse Manager to lead essential clinical prevention services that protect and strengthen community health. The Clinical Prev...

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***Job SummaryThe position is located in our in Carson City DMV Office within the Research and Project Management (RPM) Division. The division...

Ready to play a pivotal role in shaping the future of automotive innovation A highly organized and proactive Project Coordinator is key to leading onboarding ensuring seamless coordination and driving cross-functional execution. Join a forward-thinking team at the forefront of a transformative...

What Youll Do:Provide Hands-On Care: Assist individuals with daily activities like personal care meal prep transportation housekeeping and laundry all while fostering independence.Create a Safe & Welcoming Environment: Maintain a clean safe space that ensures comfort and support while helping indivi...

Shift: PRN - Every Weekend plus HolidaysHours: 8:00 AM 5:00 PM Principal Responsibilities and TasksThe following statements describe the general work performed in this role.  It is not an exhaustive list of all duties that may be performed.Assesses patients evaluates psycho-social problems prepares...

Guidehealth is seeking a Behavioral Health Utilization Management Medical Director (Psychiatry) to serve as a part-time 1099 consultant supporting utilization management activities for a commercial health plan. This role provides physician-level clinical review and consultative leadership across beh...

What to expectThe Utilization Review Clinical Specialist provides timely comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team and an interdisciplinary clinical team the specialist conducts medical reviews...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

What to expectThe Utilization Review Clinical Specialist provides timely comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team and an interdisciplinary clinical team the specialist conducts medical reviews...

The Residential Program Coordinator enhances the quality of life for a caseload of people with intellectual or developmental disabilities who live in a host home setting. Supports people receiving services in creating the lives they desire by facilitating successful Host Home partnerships and settin...

Program Coordinator - HCBS Hills & Dales is a non-profit organization committed to building meaningful lives for individuals with disabilities including those with complex behavioral needs. We are seeking a dedicated and compassionate leader to join our team in Dubuque IA. You would have the opportu...

REQUIREMENTS AND PREFERENCESThe Broward County Board of County Commissioners is seeking qualified candidates for Program/Project Coordinator (Aviation Screening & Detection Specialist) at the Fort Lauderdale-Hollywood International Airport.THIS JOB ANNOUNCEMENT WILL REMAIN OPEN UNTIL SUFFICIENT NUMB...

Job Description: Learning Program CoordinatorCommercial Utility Programs Customer-Facing Learning Delivery SupportLocation: On-site Minneapolis MNReports To: Program Manager Instructional Design LeadType: Full-timeAbout C² TechnologiesC² Technologies delivers workforce training and performance sol...

ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. I...